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Protecting health care workers from SARS and other respiratory pathogens: A review of the infection control literature

Identifieur interne : 001272 ( Pmc/Checkpoint ); précédent : 001271; suivant : 001273

Protecting health care workers from SARS and other respiratory pathogens: A review of the infection control literature

Auteurs : Bruce Gamage ; David Moore ; Ray Copes ; Annalee Yassi ; Elizabeth Bryce [Canada]

Source :

RBID : PMC:7132691

Abstract

Background

Severe Acute Respiratory Syndrome (SARS) was responsible for outbreaks in Canada, China, Hong Kong, Vietnam, and Singapore. SARS focused attention on the adequacy of and compliance with infection control practices in preventing airborne and droplet-spread transmission of infectious agents.

Methods

This paper presents a review of the current scientific knowledge with respect to the efficacy of personal protective equipment in preventing the transmission of respiratory infections. The effectiveness of infection control polices and procedures used in clinical practice is examined.

Results

Literature searches were conducted in several databases for articles published in the last 15 years that related to infection control practices, occupational health and safety issues, environmental factors, and other issues of importance in protecting workers against respiratory infections in health care settings.

Conclusion

Failure to implement appropriate barrier precautions is responsible for most nosocomial transmissions. However, the possibility of a gradation of infectious particles generated by aerosolizing procedures suggests that traditional droplet transmission prevention measures may be inadequate in some settings. Further research is needed in this area.


Url:
DOI: 10.1016/j.ajic.2004.12.002
PubMed: 15761412
PubMed Central: 7132691


Affiliations:


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PMC:7132691

Le document en format XML

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<p>Severe Acute Respiratory Syndrome (SARS) was responsible for outbreaks in Canada, China, Hong Kong, Vietnam, and Singapore. SARS focused attention on the adequacy of and compliance with infection control practices in preventing airborne and droplet-spread transmission of infectious agents.</p>
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<title>Methods</title>
<p>This paper presents a review of the current scientific knowledge with respect to the efficacy of personal protective equipment in preventing the transmission of respiratory infections. The effectiveness of infection control polices and procedures used in clinical practice is examined.</p>
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<p>Literature searches were conducted in several databases for articles published in the last 15 years that related to infection control practices, occupational health and safety issues, environmental factors, and other issues of importance in protecting workers against respiratory infections in health care settings.</p>
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<title>Conclusion</title>
<p>Failure to implement appropriate barrier precautions is responsible for most nosocomial transmissions. However, the possibility of a gradation of infectious particles generated by aerosolizing procedures suggests that traditional droplet transmission prevention measures may be inadequate in some settings. Further research is needed in this area.</p>
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<name sortKey="Fanning, A" uniqKey="Fanning A">A. Fanning</name>
</author>
<author>
<name sortKey="Yuan, L" uniqKey="Yuan L">L. Yuan</name>
</author>
<author>
<name sortKey="Fitzgerald, J M" uniqKey="Fitzgerald J">J.M. FitzGerald</name>
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<name sortKey="Goldmann, D A" uniqKey="Goldmann D">D.A. Goldmann</name>
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<analytic>
<author>
<name sortKey="Paes, B A" uniqKey="Paes B">B.A. Paes</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Gagneur, A" uniqKey="Gagneur A">A. Gagneur</name>
</author>
<author>
<name sortKey="Sizun, J" uniqKey="Sizun J">J. Sizun</name>
</author>
<author>
<name sortKey="Vallet, S" uniqKey="Vallet S">S. Vallet</name>
</author>
<author>
<name sortKey="Legr, M C" uniqKey="Legr M">M.C. Legr</name>
</author>
<author>
<name sortKey="Picard, B" uniqKey="Picard B">B. Picard</name>
</author>
<author>
<name sortKey="Talbot, P J" uniqKey="Talbot P">P.J. Talbot</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Hall, C B" uniqKey="Hall C">C.B. Hall</name>
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</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Purssell, E" uniqKey="Purssell E">E. Purssell</name>
</author>
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<analytic>
<author>
<name sortKey="Isakbaeva, E T" uniqKey="Isakbaeva E">E.T. Isakbaeva</name>
</author>
<author>
<name sortKey="Khetsuriani, N" uniqKey="Khetsuriani N">N. Khetsuriani</name>
</author>
<author>
<name sortKey="Beard, R S" uniqKey="Beard R">R.S. Beard</name>
</author>
<author>
<name sortKey="Peck, A" uniqKey="Peck A">A. Peck</name>
</author>
<author>
<name sortKey="Erdman, D" uniqKey="Erdman D">D. Erdman</name>
</author>
<author>
<name sortKey="Monroe, S S" uniqKey="Monroe S">S.S. Monroe</name>
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<analytic>
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<name sortKey="Yassi, A" uniqKey="Yassi A">A. Yassi</name>
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</author>
<author>
<name sortKey="Moore, D" uniqKey="Moore D">D. Moore</name>
</author>
<author>
<name sortKey="Janssen, R" uniqKey="Janssen R">R. Janssen</name>
</author>
<author>
<name sortKey="Copes, R" uniqKey="Copes R">R. Copes</name>
</author>
<author>
<name sortKey="Bartlett, K" uniqKey="Bartlett K">K. Bartlett</name>
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<pmc article-type="review-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Am J Infect Control</journal-id>
<journal-id journal-id-type="iso-abbrev">Am J Infect Control</journal-id>
<journal-title-group>
<journal-title>American Journal of Infection Control</journal-title>
</journal-title-group>
<issn pub-type="ppub">0196-6553</issn>
<issn pub-type="epub">1527-3296</issn>
<publisher>
<publisher-name>Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">15761412</article-id>
<article-id pub-id-type="pmc">7132691</article-id>
<article-id pub-id-type="publisher-id">S0196-6553(04)00639-X</article-id>
<article-id pub-id-type="doi">10.1016/j.ajic.2004.12.002</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Protecting health care workers from SARS and other respiratory pathogens: A review of the infection control literature</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" id="au1">
<name>
<surname>Gamage</surname>
<given-names>Bruce</given-names>
</name>
<degrees>RN, BSN, CIC</degrees>
<email>bruce.gamage@bccdc.ca</email>
<xref rid="affa" ref-type="aff">a</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author" id="au2">
<name>
<surname>Moore</surname>
<given-names>David</given-names>
</name>
<degrees>MDCM, MHSc, FRCPC</degrees>
<xref rid="affb" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author" id="au3">
<name>
<surname>Copes</surname>
<given-names>Ray</given-names>
</name>
<degrees>MD, MSc</degrees>
<xref rid="affa" ref-type="aff">a</xref>
<xref rid="affc" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author" id="au4">
<name>
<surname>Yassi</surname>
<given-names>Annalee</given-names>
</name>
<degrees>MD, MSc, FRCPC</degrees>
<xref rid="affa" ref-type="aff">a</xref>
<xref rid="affc" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author" id="au5">
<name>
<surname>Bryce</surname>
<given-names>Elizabeth</given-names>
</name>
<degrees>MD, FRCPC</degrees>
<xref rid="affd" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author" id="au6">
<name>
<surname>members of The BC Interdisciplinary Respiratory Protection Study Group</surname>
</name>
</contrib>
</contrib-group>
<aff id="affa">
<label>a</label>
From the British Columbia Centre for Disease Control</aff>
<aff id="affb">
<label>b</label>
Occupational Health and Safety Agency for Healthcare in BC</aff>
<aff id="affc">
<label>c</label>
Department of Health Care and Epidemiology, University of British Columbia</aff>
<aff id="affd">
<label>d</label>
Vancouver General Hospital, Vancouver, British Columbia, Canada</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Reprint requests: Bruce Gamage, RN, BSN, CIC, BC Centre for Disease Control, 655 W. 12th Ave, Vancouver, BC V5Z 4R4, Canada.
<email>bruce.gamage@bccdc.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>23</day>
<month>2</month>
<year>2005</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub">
<month>3</month>
<year>2005</year>
</pub-date>
<pub-date pub-type="epub">
<day>23</day>
<month>2</month>
<year>2005</year>
</pub-date>
<volume>33</volume>
<issue>2</issue>
<fpage>114</fpage>
<lpage>121</lpage>
<permissions>
<copyright-statement>Copyright © 2005 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.</copyright-statement>
<copyright-year>2005</copyright-year>
<copyright-holder>Association for Professionals in Infection Control and Epidemiology, Inc.</copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>Severe Acute Respiratory Syndrome (SARS) was responsible for outbreaks in Canada, China, Hong Kong, Vietnam, and Singapore. SARS focused attention on the adequacy of and compliance with infection control practices in preventing airborne and droplet-spread transmission of infectious agents.</p>
</sec>
<sec>
<title>Methods</title>
<p>This paper presents a review of the current scientific knowledge with respect to the efficacy of personal protective equipment in preventing the transmission of respiratory infections. The effectiveness of infection control polices and procedures used in clinical practice is examined.</p>
</sec>
<sec>
<title>Results</title>
<p>Literature searches were conducted in several databases for articles published in the last 15 years that related to infection control practices, occupational health and safety issues, environmental factors, and other issues of importance in protecting workers against respiratory infections in health care settings.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Failure to implement appropriate barrier precautions is responsible for most nosocomial transmissions. However, the possibility of a gradation of infectious particles generated by aerosolizing procedures suggests that traditional droplet transmission prevention measures may be inadequate in some settings. Further research is needed in this area.</p>
</sec>
</abstract>
</article-meta>
<notes>
<p>Vancouver, British Columbia, Canada</p>
</notes>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Canada</li>
</country>
</list>
<tree>
<noCountry>
<name sortKey="Copes, Ray" sort="Copes, Ray" uniqKey="Copes R" first="Ray" last="Copes">Ray Copes</name>
<name sortKey="Gamage, Bruce" sort="Gamage, Bruce" uniqKey="Gamage B" first="Bruce" last="Gamage">Bruce Gamage</name>
<name sortKey="Moore, David" sort="Moore, David" uniqKey="Moore D" first="David" last="Moore">David Moore</name>
<name sortKey="Yassi, Annalee" sort="Yassi, Annalee" uniqKey="Yassi A" first="Annalee" last="Yassi">Annalee Yassi</name>
</noCountry>
<country name="Canada">
<noRegion>
<name sortKey="Bryce, Elizabeth" sort="Bryce, Elizabeth" uniqKey="Bryce E" first="Elizabeth" last="Bryce">Elizabeth Bryce</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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